Incidental Finding of Dextrocardia with Situs Inversus in A 4-Year-Old Child: A Case Report

Dextrocardia with situs inversus means a situation in which vital organs in the chest and abdomen are on the opposite side (most often right side) of the body from the normal location. The heart is positioned abnormally where the tip is positioned on the right side of the chest, and visceral organs like the liver and spleen appear reversed (situs inversus). This is a four-year-old male child that presented for chest radiograph on account of cough and fever with a diagnosis of bronchopneumonia. Following the plain radiograph, the tip of the heart was noticed on the right side of the chest, the gastric and splenic shadows were also noted on the right hemi-abdomen and the hepatic shadow on the left hemi-abdomen. A complimentary abdominal ultrasonography further confirmed the location of the spleen and stomach on the right hemi-abdomen while the liver on the left. An echocardiogram further confirmed the change in normal positioning of the chambers of the heart. We present a case of dextrocardia with situs inversus totalis incidentally diagnosed in a four-year-old male child because of its rare nature and to review the literature.